Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic
VENNINCIA LEBONE MOSIMA MTSHWENI

VENNINCIA LEBONE MOSIMA MTSHWENI

LEGAL CLAIMS HANDLER - RECOVERY AND THIRD PARTIES
PRETORIA

Summary

Dynamic and detail-oriented Claims Consultant with extensive experience, excelling in legal claims recovery and third-party negotiations. Proficient in insurance policy administration and adept at fostering strong client relationships. Recognized for effective communication and the ability to thrive under pressure, ensuring timely resolution of complex claims.

Overview

8
8
years of professional experience

Work History

Claim Consultant - Legal

PSG Insure
02.2023 - Current

Legal claims consultant (Recoveries and third-party claims)

- Register new claims,

- Prepare claim documents and review them for completeness,

- Appoint Attorneys for contingency matter,

- Liaise with client and Third party with update and follow ups,

- Excess refund and release payment,

Junior Business Analyst(IT) - Temporary

PSG Insure
09.2022 - 02.2023


- Daily System checks and Monitoring

- Creation of Internal and external Users on the Tial System

- Agile Methodology applied for sprint planning

- Responsible for Jira workflow for Tial BAU and Project Tickets

- Administration of logging of tickets on Itops

- Assisting Senior BA in Tial Project

- Assisting Advisor and staff with Tial related queries

- Assisting Advisors and RMs during War Room after migration

- Reviewing and logging of user stories on Centralize (Third party system)

- Responsible for updating the Sprint Throughput for the Project manager

- Responsible for training new Team members on different systems

- Responsible for sending Comms on Sendgrid to the Advisor community and Tial Users

Junior Claims Consultant - Temporary

PSG Insure
06.2022 - 09.2022

- Responsible for making Payments to Suppliers for services rendered

- Follow up with suppliers on outstanding documents to finalize payments

Legal Claims Consultant - Intern

Brolink
09.2018 - 03.2020

- Legal assistance (Recoveries and third‑party claims)

- Collect claim documents

- Send updates letters to clients


- Contingency matters to Attorneys

- Excess refund

- Record keeping

- Acknowledgment of debt and follow up on monthly debt from third parties.

Underwriter Personal Lines

Brolink
03.2018 - 08.2018

- New business for potential clients


- Policy amendments

- Renewal discounts on policies as per mandate and underwriting guidelines

- Data capturing and policy transfers

Education

No Degree - RE 5

Moonstone Business School
Pretoria, South Africa
04.2001 -

Law - Diploma in Law

University of South Africa (UNISA)
Pretoria
04.2001 -

No Degree - Short Term Insurance - NQF 4,

ARTG- African Recourse Training Group
Pretoria
04.2001 -

No Degree - National Senior Certificate

Malebo Secondary School
Mpumalanga
04.2001 -

Skills

- Microsoft office

- Insurance policy administration and application

- Underwriting rules and product knowledge

- Legal compliance and understanding

- Good communication

- Able to work under pressure

- Attention to details

Additional Information

- References available upon request

Timeline

Claim Consultant - Legal

PSG Insure
02.2023 - Current

Junior Business Analyst(IT) - Temporary

PSG Insure
09.2022 - 02.2023

Junior Claims Consultant - Temporary

PSG Insure
06.2022 - 09.2022

Legal Claims Consultant - Intern

Brolink
09.2018 - 03.2020

Underwriter Personal Lines

Brolink
03.2018 - 08.2018

No Degree - RE 5

Moonstone Business School
04.2001 -

Law - Diploma in Law

University of South Africa (UNISA)
04.2001 -

No Degree - Short Term Insurance - NQF 4,

ARTG- African Recourse Training Group
04.2001 -

No Degree - National Senior Certificate

Malebo Secondary School
04.2001 -
VENNINCIA LEBONE MOSIMA MTSHWENILEGAL CLAIMS HANDLER - RECOVERY AND THIRD PARTIES